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)Could FastSize work on men of normal penile length? Levine says it might.

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The group also refuses to endorse surgeries that inject fat cells in the penis with the goal of increasing penile girth.

WebMD archives content after 2 years to ensure our readers can easily find the most timely content.

"I see a more confident man in front of me from using this product," she says.

After four months of wearing the device, he says his flaccid penis has stretched from 3 inches to over 5 inches; erect, he has gone from less than 6 inches to over 7 inches.

Then, in the back of a weightlifting magazine, he saw an ad for the FastSize Extender, a device that claims to make the penis longer and fatter through traction.

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(The supplements are made by the same company that makes the FastSize Extender.

Instead of furtively turning to untested methods, men with persistent concerns should consider opening up about them with their doctors.

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Many men would clearly rather spend $20, $50, $100 on the Internet than go to the doctor and get real information.

"In younger or younger middle-aged men, ED is often the first sign of atherosclerosis.

For men with performance issues who are physically healthy, Boyle often prescribes counseling, such as marriage counseling for men with relationship issues or psychiatric help for men who are preoccupied with a problem in penile appearance.

He felt embarrassed in gym locker rooms and when standing naked before his wife.

"PaginationHere's what guys should watch out for.

Richard's wife has also been supportive.

Given that the vast majority of men fall within a certain penis size -- about 5 to 2 inches long when erect -- most men fall within the normal range.

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All rights reserved.

The question is, do any of these "male enhancement" techniques really work?Richard, a mechanic from upstate New York, is a muscular, athletic guy.

"I was afraid my girlfriend would think I was a freak, but she was supportive because she felt a difference in her satisfaction and I felt more confident in myself," Bob tells WebMD.

Nonprescription testosterone, such as the kind used by some bodybuilders, is dangerous, she warns.

Richard began wearing the device almost eight hours a day, every day.

"In some cases, men are harming themselves in the pursuit of a bigger penis.

Levine, MD, director of the male fertility program at Rush University Medical Center, tested the FastSize Extender on 10 men afflicted with Peyronie's disease, which can cause bending and shrinkage of the penis.

) SOURCES: Karen Boyle, MD, assistant professor of urology and director of reproductive medicine and surgery, Johns Hopkins University School of Medicine.

No herbal remedy can restore erections like Viagra and its prescription counterparts, says Steven Lamm, MD, an assistant professor of medicine at New York University and author of The Hardness Factor.

That's because performance problems sometimes act as an early warning signal for serious health problems.

See additional information.

"The FastSize Extender, though not extensively tested, has received some validation from mainstream medical sources.

Most are a waste of money, and some are downright dangerous, doctors say.

(Levine has also worked as a paid consultant to FastSize Extender.

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"For men with ED who are at risk of heart disease, prescribing Viagra or its cousins isn't enough, Boyle says.

But that makes it a true rarity among the nonprescription methods of male enhancement.

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So there should be plenty of ways to satisfy your partner that have nothing to do with pills, creams, surgery, or devices.

"The small blood vessels that go to the penis can become diseased much earlier than the [larger vessels that go to the heart," Karen Boyle, MD, a urologist at Johns Hopkins School of Medicine, tells WebMD.

The FastSize Extender device promises results, but it's far from quick and easy.

Sometimes men with erection problems or a diminished libido have low levels of testosterone, Boyle says.

Chicago urologist Laurence A.

)The Internet is rife with scammers who seek to prey on men's insecurities, Levine says.

Calling the results "remarkable," Levine now prescribes the device to many of his Peyronie's patients and reports no significant complications.

Evidence shows that these changes in themselves can have a positive effect on sexual function, Boyle says.

He says he's gained over 2 inches of erect length.

At the end of the six-month study, which was funded by the maker of the FastSize Extender, Levine found increased penile length and reduced curvature in every man and increased girth in seven of the men.

She also says the lengthening has enhanced their sex life, though she had no complaints before.

The device cost $298, but Richard says the effect on his self-confidence has been priceless: "It made a world of difference to me.

(Have you tried or considered trying a male enhancement product? Talk about it on the Men's Health: Man to Man message board.

Richard, the mechanic from New York, got results faster than Bob, but still wore the device under his clothes for about eight hours a day.

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The American Urological Association says a common form of lengthening surgery (involving cutting the suspensory ligament of the penis) has not been shown to be safe or effective.

It's a testimony to men's abiding insecurities about sexual performance.

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Laurence A.

But ever since he was a young boy, Richard couldn't get over the feeling that his penis was too small.

But many doctors are wary of traditional medicines.

Bob, New Jersey.

These men should be also be controlling their weight and cholesterol level, limiting their alcohol intake, and quitting smoking.

Many doctors question whether the benefits of lengthening surgery outweigh the risks.

Our email inboxes fill up every day with advertisements for pills, ointments, supplements, and contraptions aimed at enhancing penis size, sexual stamina, or libido.

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He has a loving wife who has always enjoyed their sex life.

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"Penis-lengthening surgery is also an option for men, but it is a highly controversial procedure.

Thousands of years before Viagra, men were consuming everything from horny goat weed to powdered rhino horn in hopes of boosting sexual performance.

Your doctor might be able to prescribe something that can really help, or least provide a valuable dose of perspective about what constitutes "normal" sexual performance.